Foot and Ankle Injection Techniques. A Practical Guide by Stuart Metcalfe FPodA FCPodS, Ian Reilly FCPodS DMS

By Stuart Metcalfe FPodA FCPodS, Ian Reilly FCPodS DMS

Foot and Ankle Injection Techniques presents the scholar and training podiatrist with all they should comprehend when, how and what to inject.

To aid the clinician and scholar, the textual content covers:

  • Changes in legislation
  • The complete variety of injectable medications on hand to the practitioner
  • Essential details on nerve body structure, drug motion, gear, sufferer choice, injection thoughts and lots of different topics
  • A step by step advisor to injection techniques
  • Useful historical past details in introductory chapters

Written by means of hugely revered advisor podiatric surgeons.

  • Online resources including movies to complement the textual content. For entry, please go browsing to, http://booksite.elsevier.com/9780702031076/ and persist with the instructions
  • Abundant images and transparent line illustrations of the ideas and underlying anatomy

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Additional info for Foot and Ankle Injection Techniques. A Practical Guide

Example text

Such feelings are natural, especially where needles are involved. Although procedures performed using local anaesthetics are advantageous, being associated with fewer sideeffects than general anaesthetic, their use requires very careful consideration of the patient’s psychological status. Failure to take account of this will place the patient in a situation that will cause unnecessary stress both pre-operatively and intraoperatively. This in itself can have adverse effects on the outcome of a procedure.

The second consideration with respect to dose is important because administering large volumes of fluid to areas will create pressure within the tissues. Consider the ­pressure effect of injecting a large volume of fluid around the base of the toe: 47 48 Foot and Ankle Injection Techniques: a practical guide • risk of skin necrosis • compression of vessels and nerves • risk of toxicity through rapid absorption from a single dose. Care should be taken to avoid such complications by giving careful thought as to the capacity of local tissues to accommodate the intended volume of local anaesthetic solution.

Minimum equipment recommendations The range of drugs and equipment that are necessary when administering PNBs will vary considerably depending on the type of patients being managed and the type of PNBs being undertaken. There is however a minimum level that should be available whenever a PNB is being performed irrespective of how minor the block. The items have been set out in various sections as shown below: 53 54 Foot and ankle InjectIon technIques: a practIcal guIde Core … 2nd staff member … policies … training records equipment … telephone … oxygen and mask … airway … cannulae, needles … syringes … automated external defibrillator … suction and tubing drugs … 1:1000 epinephrine × 3 … 100 mg hydrocortisone … 10 mg chlorpheniramine … salbutamol … nebulizer A second person is essential whenever administering drugs as it is not possible to manage a clinical emergency and get the drugs and equipment required ready.

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